Individual
AKESHA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 W 10TH ST, BAYONNE, NJ 07002-1360
(201) 969-6446
Mailing address
69 W 10TH ST, BAYONNE, NJ 07002-1360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323975-1
NY
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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